MISS ELIZABETH MARATOVNA KHAVKINA PMHNP-BC
NPI 1073376612
Nurse Practitioner - Psychiatric/Mental Health in Panorama City, CA

Q: What is Elizabeth Khavkina's NPI number?

The NPI number for Elizabeth Khavkina is 1073376612. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Q: What is Elizabeth Khavkina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 06, 2024

14860 ROSCOE BLVD STE 307, PANORAMA CITY, CA 91402(818) 616-2122 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Mar 16, 2026, Mar 4, 2026 and 1 more (4 updates tracked since 2024).

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About Miss Elizabeth Maratovna Khavkina Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ELIZABETH MARATOVNA KHAVKINA PMHNP-BC (NPI 1073376612) is an individual psychiatric/mental health provider in Panorama City, California, licensed in California (95037175) and active in the NPI registry since February 2024. She maintains a secondary practice location in Woodland Hills.

NPPES Registry Identity

NPI1073376612

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS ELIZABETH MARATOVNA KHAVKINACredential: PMHNP-BC

Location Address14860 ROSCOE BLVD STE 307Panorama City, CA 91402-4691

Mailing Address11901 Louise AveGranada Hills, CA 91344-2449 · (323) 717-9626

Phone(818) 616-2122

Sole ProprietorNo

Enumeration DateFebruary 6, 2024

Last NPPES UpdateMay 20, 20264 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1073376612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95037175

Also ListedRegistered NurseTaxonomy 163W00000X · License 95311194 (CA)

14860 ROSCOE BLVD STE 307, Panorama City, CA 91402

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Secondary Practice Location 1

Location 120301 Ventura Blvd Ste 202Woodland Hills, CA 91364-0923 · Phone (323) 717-9626

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONARA GASANOVA PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

14860 ROSCOE BLVD STE 307
PANORAMA CITY, CA 91402

Los Angeles County (747) 998-0387

JAQUELINE ALEXIS GORODETSKY PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

14860 ROSCOE BLVD STE 307
PANORAMA CITY, CA 91402

Los Angeles County (818) 616-2122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Khavkina's NPI number?

The NPI number for Elizabeth Khavkina is 1073376612. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Where is Elizabeth Khavkina located?

Elizabeth Khavkina practices at 14860 Roscoe Blvd Ste 307, Panorama City, CA 91402. The listed phone number is (818) 616-2122.

What is Elizabeth Khavkina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Elizabeth Khavkina was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.